SUMAN KAMBHAMPATI

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****63

NOT RENEWED

N

SUMAN

KAMBHAMPATI

SUMAN KAMBHAMPATI

09/16/2002

06/16/2008

07/31/2011

LEAWOOD KS

IL

66206

COOK

II III IV V

N

11/10/2011